Individual
SANG BUM HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1636 N 51ST AVE, PHOENIX, AZ 85035-3936
(602) 904-5901
Mailing address
8901 EMBASSY CT APT 203, LAS VEGAS, NV 89117-5580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010315
AZ
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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